Individual provider Active NPI

Lauren Taylor Garcia, DC

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1417713033
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36863 Issued in CA
Practice address
3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063
Phone
(408) 248-8700
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36863 CA Primary

Addresses

Primary practice location

3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063

Mailing address

3643 Satinwood Dr
San Jose, CA 95148-2826
Phone (408) 660-7196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313004533 CA Practitioner - Chiropractic 0749626620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36863CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mati Custom Chiropractic Corporation Chiropractor CurrentSince Jan 31, 2024 Accepting new patients

Locations

3700 Thomas Rd
Ste 207
Santa Clara, CA 95054
Phone (408) 248-8700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1417713033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 SATINWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482826",
            "telephone_number": "408-660-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 THOMAS RD STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542063",
            "telephone_number": "408-248-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LAUREN",
        "middle_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.